摘要
目的探讨认知行为干预对乳腺癌术后化疗患者心理应激及睡眠、生活质量的影响。方法选择在我院住院接受手术及术后化疗的98例乳腺癌患者作为研究对象,按照化疗时间分为观察组(49例,常规护理+认知行为干预)和对照组(49例,常规护理)。比较两组患者入院时及出院时的心理应激、睡眠质量、生活质量和护理满意度。结果出院时,两组的SAS、SDS、PSQI评分均降低,且观察组明显低于对照组(P<0.05)。出院时,两组的生活质量各项评分均升高,且观察组明显高于对照组(P<0.05)。观察组患者护理满意度明显高于对照组(P<0.05)。结论认知行为干预可改善乳腺癌患者的不良心理应激,提高患者睡眠、生活质量,融洽护患关系。
Objective To explore the effects of cognitive behavioral intervention on psychological stress,sleep quality and quality of life in patients with breast cancer after chemotherapy.Methods A total of 98 patients with breast cancer who received surgery and postoperative chemotherapy in our hospital were selected as the research objects.According to the chemotherapy time,the patients were divided into observation group(49 cases,routine nursing+cognitive behavior intervention)and control group(49 cases,routine nursing).The psychological stress,quality of sleep and life,and nursing satisfaction were compared between the two groups at admission and discharge.Results At discharge,SAS,SDS,PSQI scores in the two groups decreased,and those in the observation group were significantly lower than the control group(P<0.05).At discharge,the scores of quality of life in the two groups increased,and those in the observation group were significantly higher than the control group(P<0.05).The nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Cognitive behavioral intervention can ameliorate the adverse psychological stress of breast cancer patients,improve the quality of sleep and life,and harmonize the relationship between nurses and patients.
作者
杨惠丽
吴振华
王亚莉
YANG Hui-li;WU Zhen-hua;WANG Ya-li(Baoji Central Hospital,Baoji 721008,China)
出处
《临床医学研究与实践》
2020年第21期158-160,共3页
Clinical Research and Practice
关键词
乳腺癌
认知行为干预
心理应激
睡眠质量
breast cancer
cognitive behavioral intervention
psychological stress
quality of sleep
